Therapy Dog Certification Class: Phone Evaluation Request
The goal of this class is to prepare both ends of the leash, people as well as dogs, for participation in our Therapy Dog program. Our Certification class is three weeks long, followed by a facility visit evaluation.  Registration for class begins with a phone evaluation (typically 15-20 minutes) for us to get to know you and your dog. 
Email address *
Your Name *
Your answer
Your Dog's Name *
Your answer
Step 1: Please let us know when you are available for a 15 - 20 minute phone call.
Your Phone Number *
Your answer
What is the best time to reach you? *
Your answer
Step 2: Please confirm your dog's age and health.
Your Dog's Age (if known)
Your answer
Your Dog's Health *
Required
Step 3: Briefly describe why you and your dog would like to serve as a Therapy Dog Team.
*
Your answer
Additional Comments or Questions
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service